As Dr. Allen Frances read through the list of proposed changes to psychiatry’s bible of mental sickness, alarms started ringing in his own mind. “I was surprised,” the renowned U.S. psychiatrist says, “that the proposals managed to be much worse than my most pessimistic expectations.”
Since 1950, man has landed on the moon, made computers commonplace and harnessed nuclear power. We’re obviously using our minds to the fullest. Yet the number of ways we can go officially crazy has nearly tripled. The hugely influential reference book used by psychiatrists and other mental health professionals the world over to diagnose mental illness — the Diagnostic and Statistical Manual of Mental Disorders — currently lists 357 types of psychiatric afflictions, up from 128 when the first volume was published in 1952.
He who pays the piper calls the tune, and to a quite extraordinary extent, drug money has come to dominate psychiatry. It underwrites psychiatric journals and psychiatric conferences (where the omnipresence of pharmaceutical loot startles the naive outsider). It makes psychiatric careers, and many of those whose careers it fosters become shills for their paymasters, zealously promoting lucrative off-label uses for drugs whose initial approval for prescription was awarded on quite other grounds.
PSYCHIATRY is widely considered to be a success, able to treat mental illness using drugs to correct chemical imbalances in the brain. Yet, since the advent of psychiatric drugs, rates of mental illness have shot up and the supposed imbalances, thought to be the cause of mental illness, have been shown not to exist.
Patrick McGorry claims that early intervention for psychosis has much better outcomes in terms of return to work and quality of life, but his own data in a Schizophrenia Bulletin paper last year show no significant differences.